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ROOT BIZ Registration Form
Event Timing: June 11, 2022 8:30 AM - 2:00 PM (Cameroon Time Zone)
Event Address: Che Street-Ntarinkon, Bamenda - City FM Radio building (beside Faith building)
Contact us at +237 6 70 90 78 99/ email
nasla.younginitiative@gmail.com
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* Indicates required question
Email
*
Your email
Cameroon Farming with NASLA leaders and partners
Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Please indicate your age group.
*
18 - 24
25-29
30-34
35-39
40-44
45-49
50-54
55 or over
Email
Your answer
Representing an organization?
*
Yes
No
Organization's Name
Your answer
Organization's Address
Your answer
Organization's Phone Number
Your answer
Organization's Social Media Pages
Your answer
Is this your first NASLA event?
*
Yes
No
Other:
Dietary (Food) restrictions*
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
I understand that there will be a two-part experience. (Please check all parts that you wish to attend.)
*
Workshops and Field Demonstration
Workshops Only
Field Demonstration Only
Required
What interest you about ROOT BIZ?
*
Your answer
How did you hear of ROOT BIZ?
*
Facebook
Instagram
NASLA website
Globalgiving
GivingWay
Referred
Other:
Are you interested in being a part of NASLA?
*
Yes
No
Maybe
List three expectations you hope to learn from attending the ROOT Biz workshop.
*
Your answer
Would you like to receive updates about NASLA programs and community opportunities?
*
Yes
No
Do you own a farm? If so, please share details in Section 2 of this form.
*
Yes
No
Other:
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